Crull, Leah A
Crull, Leah A is an individual health care provider with primary practice located at 2662 Mcfarland Rd , Rockford IL 61107-6806. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Crull, Leah A can be contacted via phone (815) 226-8780.Contact Information
Primary practice address
2662 Mcfarland Rd
Rockford IL 61107-6806
Phone: (815) 226-8780
Fax: (815) 227-1744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 056-001483 | Illinois |
Profile Details
| NPI number | 1811905482 |
|---|---|
| LBN Legal business name | Crull, Leah A |
| Credentials | OTR/L, CHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Sep 5th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811905482 | NPPES |
| Illinois | Other | 056-001483 | STATE LICENSE |
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